【正文】 氣胸：呼吸困難；單側(cè)胸痛；體型瘦長。必要時安排待手術(shù)病人行溶栓治療。 ，如心導管室占用且可能時間較長時，可使用介入科導管室行直接PCI。：阿司匹林300mg、氯吡格雷 600mg口服，靜脈抗缺血藥物。（無）全院醫(yī)護人員嚴格執(zhí)行胸痛中心協(xié)作醫(yī)院合作和轉(zhuǎn)診制度，胸痛中心委員會定期對胸痛中心協(xié)作醫(yī)院合作和轉(zhuǎn)診制度執(zhí)行情況進行監(jiān)督、檢查，并作持續(xù)改進。s mass line educational practice activities from 20** in January to 99 months, carried out at all levels of departments and directly affiliated institutions and grassroots party organizations. According to my actual County, the county to carry out the education practice put forward the following implementation , the overall requirementsCounty county education practice to the eighteen Party of eight, the spirit of the the third Plenary Session of the 18th CPC Central Committee as the guidance, conscientiously implement the spirit of general secretary Xi Jinping book series of important speech, earnestly implement the Central Committee really, opinions and advice , party implementing the guiding ideology of opinions to determine the objectives and requirements, step method, in accordance with the look in the mirror, dress up, wash bath, cure treatment, the general requirements of for the people pragmatic honest people as the theme, in carrying forward the spirit of Zhuanglang Zhuang, improve their work style, service to the masses of the people, the foundation of consolidating grassroots, promote transformation across efforts, to further implement the central eight regulations and The opposition party and government austerity waste regulations , double section provincial regulations, municipal provisions of the twelve plan and the implementation measures for on improving the work style of close ties with the masses law, highlight style building, carry out the whole wind spirit, resolutely oppose formalism, bureaucracy, hedonism and wasteful extravagance to solve the problems, Party members and cadres of the style and the masses of people strong, the Ministry of Party members and cadres to further improve their thinking and understanding, to further change the style of the wind, the masses to close, honest and pragmatic people honest image to further establish the foundation to further reinforce the basic level. Style of the building of the new results to promote the construction of a powerful force of the county and the ecological culture of the county and county educational practice activities of the unit is mainly: the county and below county departments under the organs, enterprises and institutions directly under the township, street, and munity, village, nonpublic economic organizations, social organizations and other grassroots organizations. Agencies and branches, each single unit, follow the rules on internal institutions. Educational practice with step by adhere to the county leadership, leadership and leading cadres to focus on outstanding catch to directly contact the service of the masses of law supervision departments and window units, service industry, educational practice, pay attention to grasp the heavy towns, streets and villages, munity education activities and the masses of grassroots groups in close contact to strengthen, and the majority of Party members, cadres and the mass line line Marx doctrine view of the masses and the party39。 對于懷疑主動脈病變或特殊情況需行主動脈CTA者，應盡可能在30分鐘內(nèi)接受CTA檢查（白天聯(lián)系電話：5440，夜間聯(lián)系電話：5442） 心電圖室門診開放時間開放，胸痛患者需快速分診減少等候時間，可聯(lián)系電話：5623（緊急聯(lián)系電話：楊劍鋒主任13815170658） 心臟超聲科門診時間常規(guī)開放（白天聯(lián)系電話5626，夜間聯(lián)系汪健飛主任13952892662）Opinions and suggestions on the party39。胸痛中心輔助檢查緊急聯(lián)系規(guī)定 使胸痛患者得到快速、準確的診斷，為進一步治療縮短時間，為制定治療方案提供依據(jù)。由導管室技術(shù)員記錄冠脈內(nèi)球囊擴張時間；；；（非正班時間），由一鍵啟動電話時間到心導管室人員全部就位，由心導管室護士記錄； 到進入心導管室的時間，由急診接診醫(yī)生記錄；；，DtoN或FMCtoN時間；，doorin and doorout(入門到出門）的時間已縮短，由急診接診醫(yī)生記錄；，每位急診就診患者均應有時間節(jié)點的記錄，記錄于每月月末最后一個周五進行總結(jié)，對延誤病例重點分析，對流程不足之處提出建議。為防萬一另設(shè)備班人員。（無）胸痛中心相關(guān)醫(yī)務人員嚴格執(zhí)行時間管理制度，縮短患者從發(fā)病到再灌注時間，胸痛中心委員會定期對時間管理制度進行督查，并做持續(xù)改進。 在轉(zhuǎn)院過程中發(fā)生病情變化的病人，應予以緊急治療，并做好記錄。 對病情不穩(wěn)定、或可能在轉(zhuǎn)院途中出現(xiàn)病情加重或?qū)е律ｋU的病人，不宜轉(zhuǎn)院，待病情穩(wěn)定后再行轉(zhuǎn)院。 轉(zhuǎn)院前，主診醫(yī)生對病人病情進行評估，將轉(zhuǎn)院原因、及接收醫(yī)院向患者或家屬告知與溝通。 臨床醫(yī)生負責指導社區(qū)衛(wèi)生服務機構(gòu)的后續(xù)治療和康復工作，根據(jù)需要，進行社區(qū)查房、電話指導、遠程查房等。電子病歷系統(tǒng)中調(diào)出電子《鎮(zhèn)江市二級以上醫(yī)院雙向轉(zhuǎn)診下轉(zhuǎn)單》，須注明接收者的姓名和聯(lián)系方式。 入院手續(xù)同門、急診病人入院程序。 對急危重癥患者，要進行緊急處置，并及時通知急救中心進行轉(zhuǎn)送，同時配合上轉(zhuǎn)醫(yī)院做好移交銜接工作。 轉(zhuǎn)入流程 農(nóng)村鄉(xiāng)鎮(zhèn)衛(wèi)生院、城市社區(qū)衛(wèi)生服務機構(gòu)上轉(zhuǎn)流程 對符合轉(zhuǎn)診條件的患者，社區(qū)醫(yī)師填寫《鎮(zhèn)江市區(qū)社區(qū)衛(wèi)生服務機構(gòu)與上級醫(yī)院雙向轉(zhuǎn)診上轉(zhuǎn)單》，同時通過醫(yī)療信息平臺預約掛號，選擇就診專科或?qū)＜议T診。 醫(yī)院與附近社區(qū)衛(wèi)生服務中心建立雙向轉(zhuǎn)診關(guān)系，簽署雙向轉(zhuǎn)診協(xié)議，由我院客服部對擬與我院簽署雙向轉(zhuǎn)診協(xié)議的社區(qū)衛(wèi)生服務中心進行充分的審核，審核其醫(yī)療服務能力和技術(shù)水平，擬定切實可行的轉(zhuǎn)診協(xié)議，確保醫(yī)療安全。 轉(zhuǎn)院：本院技術(shù)和設(shè)備條件不能診治的病人或傳染病病人，須直接轉(zhuǎn)到其他有條件的醫(yī)院繼續(xù)治療者；因醫(yī)療保險支付或其他原因要求轉(zhuǎn)院治療者；外院轉(zhuǎn)入我院者。本版改為：原則實行?？剖罩?。 績效考核按醫(yī)院相關(guān)制度執(zhí)行。所有護理事務由借出床位的護理組負責。特殊情況時，可在病房內(nèi)加床。危重搶救病人應嚴格遵循“先搶救、后補手續(xù)”救治原則。 收治?？莆Ｖ夭』颊咔埃痹\值班醫(yī)師負責與病區(qū)值班醫(yī)師電話聯(lián)系后，病情允許轉(zhuǎn)運后將患者送入病區(qū)。 病房護士接